tv Hearing on Electric Grid Security CSPAN April 15, 2016 2:36am-4:00am EDT
suffer and other estimates range and veterans could avoid people places or things to experience hyper awareness no longer able to trust those closest to them in may feel that life is no longer worth living. the issues regarding be inadequate treatment of the veterans administration are widely reported to identify and in utilize those suffering from post-traumatic stress is something the veterans administration must do with those existing therapies to connect them with service dogs they're not comfort or therapy dogs they perform valuable services for veterans.
to those with physical impairments, and her the inspector general report will face its challenges and only started to assist mobility and 20086 years after being authorized to do so the personal told us that tens of thousands of veterans returning with impairments from the war due to the use of improvised explosive devices this represents is studying bureaucratic failure to service dog helps those but those findings of ongoing research suggest the virginia may be wrong they're not intended to cure
but they provide a safe on addicted normal lives to provide a compliment to the existing treatments the urgency of the veterans suicide rate demands we explore this option and in 2010 national defense authorization act congress authorized the veterans administration for those with posttraumatic stress with service dogs aeronautics acted to be complete until 2019 but this study has undergone multiple significant and unexpected challenges. the first phase began 2011 and was started twice after health issues arose with the dogs and they treated these problems with vendor's contract to provide this service stocks many provided where substandard quality
with the condition treated earlier of the 26 veterans that were enrolled all the 12 completed the study added four more in 70 with phase one issues could have been avoided if they properly screen vendors had reached out to other organizations organizations like canines for warriors in the district i represent did not experience this issue because of their experience of treating the dogs. instead of conducting a reach and insist on developing its own veterinary standards but has its own military standards already with a team of 55 personnel as the v.a. adopted the dot standards it could have avoided the $12 million failure of phase one.
it did reach out to adopt some standards with largely duplicative and wasteful so with numerous changes based on lessons learned from phase one and to hire its own dog trainers felt the steady to incorporate the standards from one site in tampa florida to three separate and and iowa city i web yet barely meets half of the monthly recruiting goals similar issues echoed in the report. is a base on a shortage of veterans on the problems in the complexity of the study and other organizations are attempting to avoid the various to keep live hundreds of dogs that we
don't know if faye health posttraumatic stress to the anecdotal in scientific evidence that they can help veterans we will hear from those who accredits the dogs for the improvement of their symptoms. the problem of veterans suicide for this reason i have introduced the puppies of wounded service members act co-sponsored by the commander -- committee members this would have the most severe levels of pts that would remain very symptomatic to be referred to an accredited service dog
organization is the v.a. would reimburse the fees to be offset from the office of human resources for the minister of offices those who risk their lives for this country deserve the best care upon their return. i would like to thank with the witnesses for their testimony and think the of those in the audience for their service and that i will writ recognize the ranking member for his opening statements. >> to provide service dogs to assist with treatment of posttraumatic stress in also into the panel and to think
of veterans. is the mission to serve in honor of the dedicated men and women with the historic commitment for the widows and orphans. with the formal end the return of 2.7 million veterans from operation and iraqi freedom and enduring freedom and other wars and deployments the fundamental duty to provide care is critical as ever and intern the oversight is essential to see that it can carry on its mission. as most recently evidenced
by the post led 11 -- 9/11 effective treatment that they must continue to strengthen. 20% of veterans had pts but the prevalence among our iraqi and afghan veterans is repeated how severe only have reported whole are vulnerable to the risk of suicide. last month the v.a. estimated the every day at approximately 22 veterans
take their lives. that is tragic similarly the department of defense said active-duty service members remain high with 65 that were lost to suicide we're clearly failing to meet our obligations to the returning service members. the impact of pts is complex and far reaching with the approach to treatment and rehabilitation and for the v.a. to continue health services i support the bipartisan bill and signed by the president at the end of last year that would provide $50 billion specifically targeting mental-health care is and suicide prevention.
we must encourage common sense alternatives so for those with pts with rehabilitation providing service starts to veterans to help alleviate symptoms. as noted in the ama journal the additional academic study revealed they said report less severe pts symptoms, a decrease substance-abuse and other increased health benefits. congress itself mandated the three-year study to examine the benefits of the treatment of rehabilitation of those including pts they encountered numerous
challenges getting the study off the ground with inconsistent training standards as the chairman has noted in a completed a study in november of 2000 understand they're taking steps to correct this but a delay for a study of this importance is unacceptable. maliki forward to examining further study i also think going forward with a pilot program which can be based on evidence in hand today is a great way to go with this problem those pieces of bipartisan legislation has been introduced for the service starts for our veterans.
so we are calling to commence a program right away for those with pts. also we reintroduced legislation to assist in nonprofit organizations to establish the service dog program for veterans and i ask unanimous consent to submit that for the record. >> without objection spirit and the supporting statements. >> without objection spirit is evidence continues to show one way to help veterans is to support these efforts thinks for holding this hearing and i yield back the balance of my time. >> thanks for your support for cry will hold of record open 45 legislative days
when recognize the panel of witnesses. the chief veterinary medical officer for office of research and development the u.s. department of veterans affairs. the executive director of canines for warriors, a u.s. marine veteran who has pts and the executive director of the human animal bond research foundation. all witnesses will be sworn in before they testify please raise your right hand and do you solemnly swear the testimony you're about to give is the truth so whole truth and nothing but the truth so help you god? all witnesses in a surge in the affirmative. in order to allow time please limit testimony to five minutes the entire statement is made part of record you are recognized
for five minutes. >> good afternoon to members of the subcommittee think the for the opportunity for progress for the study that pairs veterans with dogs. , accompanied to my right from the rehabilitation research in the senior little of consistent for a messenger is a psychological health. the authorization act with the benefits and feasibility for the treatment of physical or mental injuries. the benefits to utilize service dogs are well-established. therefore to focus on veterans is a high priority health issue to assist
people with ptsd are not looking at the scientific literature. it is a groundbreaking study to show those that would benefit from a service dog to provide obedience after they receive a job to reduce experimental bias they also developed its own trading standards for jobs. they are operating in enrolling veterans approximately once a quarter taking self care isn't purchase a patient the severity of symptoms suicidal ideation or the severity of substance abuse inpatient and outpatient visits and productivity. the enrollment began
december 2014 they have been enrolled in the study to be fully staffed to allow all 220 veterans to be enrolled the data collection will then be analyzed in the scientific journal. it does provide veterinary care benefits was substantial mobility impairment. currently it does not provide benefits for ptsd because research has not shown them to be the carefully designed study to address shortcomings that has been reported by a others. to continue future policies
remain strongly committed of the cost of $12 million to the best care the advances of research lead to treatments a reduce and sims and increased function the evidence drivelines recommends the following for treatments to focus cognitive behavioral therapies the cognitive process their peace, stress inoculation in a serotonin inhibitor. research demonstrates the effectiveness is strong the clinics require all medical centers provide access to either of these.
by trading a parts of 7,000 therapist is part of a of a broader initiative that is evidence based from mental disorders. i will take evidence based there be across the system for veterans to choose to offer a range of options of ptsd a leader to develop therapies that the global standard mr. chairman, as a veteran myself looking account cecil completion of the study we're prepared to answer any questions you may have. >> your now recognized for five minutes. >> we are thrilled to be here to talk up this matter when the executive director of the nation's largest provider of traumatic brain injuries.
they with canines for warriors and two of our graduates are here and army veteran who did three tours in iraq and also a tenured airforce veteran who helped men and women as a medic. as has been mentioned 22 veterans will commit suicide today that is why we exist. we were founded by a mom who was worried about her own son and five years later it has grown to an organization of 36 dedicated staff staff, 9-acre square foot campus in florida with a track record to help hundreds of veterans overcome symptoms associated with pts in very successful in preventing suicide.
every warrior that comes as the family treatment equipment, training, a certification, instruction at their housing, whole cooked meals, of those that provided vice in a full wraparound service that follows up the life of the dog and the veteran we always have our veterans back and we never charged our veterans it is 100% free. we have two independent sets the researchers evaluate a program looking at the evidence that have come back to the exact same conclusion it works and the drugs are effective the average canines for warrior applicant is on 15 medications and the percentage will be eliminated or reduced 73 percent of graduates improved overall health and
85% handle anxiety better 82% report having fewer suicidal thoughts and/or a reduction of nightmares or terrors. and then to get back on a life cycle he says his service dog gives me the ability to be a father in the functioning member of society and says i just would not be here without her. she is a light and darkness of pts. so to read on the web site there is not enough research yet not enough help to treat we fundamentally disagree there is not a void of research that we don't know whether or not this helps to mitigate the symptoms. there is enough research we are an example of how that can work.
given the current crisis of suicide in america that makes sense to provide more options for veterans for the very worst thing that can happen is a veteran end up with a dog but the virginia responses row we have seen over and over there is a reluctance to agree that this can work our warriors report and they come from all over the country and we ask them all the time, tell us how is the v.a. treaty you how mr. pts treated? >> this is what they tell us san shockingly similar in frustrating they wait and wait and wait i get an appointment to the go to the hospital to wait hour after hour they get in front of a psychologist or clinical social worker and they have their moment.
this is the one lifeline the government gives these veterans to recover and this is the one chance you get 45 minutes of a discussion of the options we heard the doctor talked about? they get 15 minutes maybe the first question is how are your medications then they walked out with another prescription drug. they have three responses drugs, drugs, and more drugs to help put the drugs your taking. that is unacceptable. the v.a. failed the first round of the pilot program we of no-confidence they will succeed reseat in immediate crisis today and we believe the time is now and after they get it together but now and we appreciate the chairman's leadership and we'll be
happy to answer questions. >> day que. >> face of the chairman in the ranking member of the distinguished representatives i appreciate the opportunity to testify prime rib like to begin by saying i am not here for myself five-year strictly for brothers and sisters who were struggling to transition from post military life with pts with no other option besides drugs and therapy. those of us of the veteran communities are left behind in deal with that paid of suicide as others see no way out. came here for those who have lost faith in the system and lost hope for themselves and lost purpose in their lives and for the men and women who had to go alone to get their dogs that extraordinary financial
burden so i have been fighting to change the existing policies at the v.a.. of allowing veterans to fight without options available is tantamount to to fight an enemy without a secondary weapon. while in afghanistan and i was based and spend some time with the british of the royal air base. the injuries as a result are insignificant relative to my fellow veterans. those that show signs of injury there are signs beneath the surface. as our replacements were starting to arrive to take over a unit i thought i wasn't doing enough to help the cause or started to volunteer during sleep hours
with severely understaffed but it was there i was not prepared for their role that has affected me most. upon returning veterans take up post deployment health assessment indicated i needed treatment for post-traumatic stress and started to utilize the v.a. system and who met with a psychologist that confirmed the preliminary results. the was the prescribed drugs than if depressants and told to utilize the veterans' center in my area. little less than two years on the path the symptoms would stagnate or get worse. upon discharge from the record early 2014 interpersonal relationships were hard to maintain along with not having a support system of my fellow marines and a chain of command.
i was not in school and no job but in the save the few months i x period as with their familiar with the loss of military friends to prevent double suicide. betty were addicted to the pills prescribed and lost their glimmer of hope in their life some have spouses , children, mothers fathers and friends. they left behind because the status quo of treatment for post-traumatic stress failed them pro-life as i have known it was written a way when i decided to end it all. if only for the timing of friends arriving on my doorstep at that moment that i am here right now. the next day i quit
medication cold turkey not wanting to continue down that dark path of addiction i found a trade service start was an option but not provided by the v.a.. further increase from local nonprofits similar to canines for warriors waited for over year with the demand high. a few months after searching i have my dog was at my feet today who literally saved my life have had her obedience trained for pts symptoms by accredited trader after roughly $10,000 with my family is assistance and of my on monday, i got the help i needed but yet today the veterans still don't have those resources. i still have my bad days but
with her at my side i am largely in a different phase called recovery retired general calls it post dramatic growth. they are less frequent than they have never been in, i get news from another friend has committed suicide. more and more of the community has come forward to tell the stories of their brothers and sisters to of taken their lives. last week a close friend of mine in texas lost a read to suicide one month ago when of my best friends i deployed with in the father of my goddaughter admitted he was close in would have succeeded had not another reason stepped in. they all come to be pleading and begging to use what voice i have in this chamber in the halls of congress to
give you this message that service stocks will save lives. with their current epidemic it is unconscionable to keep the status quo to wait any longer to institute the change for a viable solution to reduce the epidemic of veteran suicide. thank you very much for the opportunity to testify and i look forward to entering your questions. >> mr. chairman they give for the opportunity to testify today in the executive director of the human animal bond research initiative a non-profit education foundation to fund research for the benefit of companion animals and specifically looking at children of optimism and how
we use these with pts. in addition we also built and maintained the largest library of human interaction freddie was doing research in this area and those that should reflect a definitive body of science to show a positive health impact v.a. says it doesn't have enough evidence to support but we respectfully disagree that is why we wrote our bill that we believe there is significant evidence to support the efficacy of service jobs. refunded the first review of research on animal assisted intervention conducted in a
published less than one year ago and found preliminary evidence animals provide unique element to address symptoms it is important to note that this systematic review found no negative effects so no harm was found so we think this supports the conclusion can positively affect depression and social outcomes and quality of life in currently funding a pilot study with military veterans scientists are measuring psychological functioning in depression and quality of life with an injured 37 military veterans
for those who have a service job for those that are waiting. the preliminary unpublished results since military veterans have significantly lower one dash lower symptoms of severity and to cope with flashbacks in reduce frequency of nightmares to lower anxiety and depression and baker and higher social reintegration in higher levels than we have to wait for the final results to be published in peer review journal but you want to bring the preliminary outcome is because they're so encouraging and important to the discussion today also but have broadly and research studies that looked at several key measures of mental health and well-being like depression and anxiety and stress all of which are
associated with pts. that is why an organization looking abroad spectrum of research is pretty definitive the love love all of oxytocin will love love cortisol stress hormones go down and we have heard about those examples today. is a few dark commit those defects you get a powerful combination service dogs for ptsd it increasingly
updating service channels just last year the state of florida expanded protection of service animals through traumatic brain injury that allows veterans to have a disability to have access sometimes they manifest themselves in public what they can provide some of the benefits if only a trained service dog with public access of whenever it is necessary with ptsd. what about the doctors? 1,000 showed 69 percent work with the of medical centers in 80% see improvement of a physical condition as a
result of animal assisted intervention. so i just want to conclude a growing body of research of positive mental health to take the broad evidence shaping public health policy and i hope the members of the subcommittee lead to reassure everyone has access with h.r. 4764 is in a great direction so i want to ruth
they queue mr. chairman for your leadership on this issue. >> why does the v.a. reject perry a veteran with a service dog? >> we don't we are thrilled service dogs help veterans but as a large organization we have to rely and evidence based edison and veteran population and what helps one will not help all and. >> has said the preliminary results pointed to change the thinking within the v.a.? >> in the publications one of the main conclusions is
from right out of the paper. shoes also quoted in the military times article that unbiased research needed to be completed. >> with that said the v.a. approach is it fair to say relies heavily on pharmaceuticals? >> i am a veterinarian to make your not familiar? so basically you don't have as much knowledge john pts? >> my role here is for the study i am not an expert of human clinical medicine. >> all indications we have received that you get counselee and you get drugs but there others that would say that that is not good bb
you can you answer this but to provide veterans opioids and other pharmaceuticals? >> what would you say? >> let's get them entry they clearly list side-effects with increased suicided job will not cause harm the yet we see every single month warriors are transforming their over medicated some lost their homes and over three weeks there working with their service dog as the bond kicks in and. they can go to a store again it opens the door they become more like the people they were.
of is that the case? >> we're here in washington he will never meet a regulator or researcher who says we have enough research of course, we have to continue to do more research and that is what we are funding right now that we do think there is a deaf. >> is there any research with the dangerous side effects? >> announcer. there is the absence of that >>. >> that is a strong negative >> i fink we all agree that veteran suicides are a major problem we deal we can to
prevent them and v.a. should explore all possible ways this could be dealt with and i understand people say we need more literature but we have enough evidence there that i think it is something that we should do. so how is the v.a. providing veterans' harmful? >> but just don't think the word veteran and a waiting list belong in the same incentives. with as many on the ground as they can. and then to provide that type of support. >> what is your judgment mr. dimon of the v.a. posture? >> it costs lives no
questions there are thousands it could have been prevented if they had access to a service job. >> with the advocacy of this issue to go through to speak with people what is that reception both sides of the aisle. >> it is overwhelmingly supportive of 47 is 64 it is in a partisan issue we need to take care of our veterans of course, have different ideas but personally walking the halls of congress everybody agrees it is a good idea that we should do that.
>> canines for warriors am privileged to represent. in you were there to help but you can only do so much. say you are a part of it the authorities to be a broader awareness but all the witnesses thank you for your testimony and now i recognize the ranking member >> for the record for the opioid addiction and in response around opioid disorder that there's 68,000
what does it cost in the context? they said $55,000 each but that is dod. i am not surprised it is probably apples and oranges. first of all, they you for your service to our country. that 10,000 is that what it cost? >> yes, sir, that is what costly to acquire her with her cost in veterinary care. i would note. >> acquisition as well? >> yes. i would note that quite frankly is cheap. >> for the life of a dog
with the benefit that it conveys. >> the $10,000 i would pay 10 more times. >> don't let dod here. [laughter] but it has paid dividends with military symptoms i would not recommend it highly to keep those the field traditional therapies are not working. >> mr. dimon 17,000? you mentioned your facility and obviously there are a efficiencies of scale. how many do you train at a time? >> cry now we're at capacity at 30 in a couple months it will be 60. >> what about the cost more
professionally? what is that cost? gimmickry you're seeing economies of scale two years ago have 40 now is 32,000 now is 27,000 we expect next year for the entire program with a lifetime wraparound services to be at about 23,000 semifinal a hit that economies of scale that is the savings and reduction of prescription drug sales and v.a. services generally and higher quality of life it is a huge cost savings for the country. >> what is the life span? period between eight and 12 years. >> i would note between eight and 10 years she started helping me within
weeks it does not take 12 years for these dogs to assist. >> no, no, no. no you just divide the cost of trading in the acquisition over the 10 years. >> day you have anything else? >> the pilot study looking at those veterans that will be completed next month and published later this year the study cost upwards of $50,000 we would get results with it a two year period. but it doesn't have to take that long or cost that much. >> to see those numbers of veterans common there is no
happy ending their. we have to try something different. >> the chair recognizes the vice-chairman for five minutes. >> 84 being here today. doctor, i notice that you served in the military military, thank you for your service buy you served in a veterinary capacity. >> yes, sir,. that technician. did you develop a bond? >> absolutely would you say as a doctor you develop the bond? >> absolutely. >> to a d.c. dangers associated with this service dogs and veterans? >> but with those dogs that
are properly trained and it didn't help those veterans. if a dog becomes this sec or with an illness there are huge veterinary bills the veteran can become depressed >> have you compare that suffering from a opioid abuse? and with others around them in a depressed state which is more of a danger? >> yes. clearly all of those things are terrible. >> do you personally believe veterans will be harmed by their care and association? >> i do not know the answer. >> you have a lot of experience.
the to do extensive research as he came as an expert i am curious of your personal opinion if they could be harmed by their care in dissociation? >> i would prefer not to do that. >> i think that is telling and i appreciate you being loyal to the v.a. that we have a publication to those who have suffered. i handle the flesh and blood as a combat instrument dealing with the issues that we discussed today. as a veterans advocate with
a career in an and i have assisted to help pull place service start since the dramatic results. whether that is but here is what i know. this data done many veterans suicides are diagnosed it is an unlikely for a soldier but now he is on toxic taunton and diminishes himself to lowe's state and in the family finds hidden in the morning. . .
implement this give an opinion of further story. >> would you like to -- >> raise your right hand. these were the testimony you are about to give will be the truth kemal truth, and nothing but the truth so help you got? >> ranking member. >> thank you for being here. >> okay. thank you very much. first of all, i think we are mistakenly confusing a couple of issues. a lot of folks with ptsd also have chronic pain conditions. but opioids are not used to
treat ptsd. we also monitor prescribing practices and send in experts to facilities where we think there is some miss practice going on an attempt to correct it. we also, as you may know, have the opioid rescue kit is now been put in the hands of every veteran has been prescribed opioids.opioids. this is also a personal issue for me. my sister died from an unintended opioid overdose. i take this seriously. >> and i appreciate that. and thank you for your insight. >> date your full name for the record so we have it. >> chris crowe. >> intertidal? >> senior mental healthin your mental health
consultant. liaison to the centers of excellence for psychological health. >> and thank you. andyou. and i appreciate your patience with being put on the spot. i understand you came here. this is a real issue. i don't believe anyone appear doesn't have concerning care, but would you also in your professional opinion acknowledge that those that feel more than likely are also liable to be suffering from some sort of pain? so these two are associated together. >> not necessarily. folks who have been deployed have many opportunities for injury and they come back with lots of skeletal pain. it is also tend to be folks who have been exposed to drama, posttraumatic stress disorder. but opioids are never used
to treat ptsd. >> and i will take you at your word for that. i will absolutely put it to you that people suffering from ptsd are often drugged with a great deal of medication. and being good soldiers were sailors rm and on marines, they take their medications. i have exceeded my time, but i would like to say, these programs mother is far more evidence that they work then don't plan there is an awful lot of evidence that we are not doing a very good job and that we have a lot of suicides lively personally just an observation. i only come as a combat veteran, not a dr.. and so what i will tell you is we are not meeting those types of issues command we
are trying to send our veterans off to a clinic rather than get them engaged in something productive. with your indulgence i yield back my time. >> which i now recognize the gentleman from georgia for five minutes. we will have the dr. come back. >> thank you very much, mr. chairman. do you have any idea how the va is recruiting? >> veteran participants, sir? yes, sir. they are recruited through the medical centers. the flyers and presentations. >> okay. is there currently a waiting list? qualified veterans. >> there is a waiting list.
we have had problems with recruiting dog trainers. we now have one trainer that is working now. >> i cannot say for sure. probably in the range of 20 people perhaps. >> and this is at one facility? >> one facility. >> are you saying that the personnel at va medical centers are aware of the study and are actively engaged in informing veterans of the potential of having a server start? >> yes. a very popular topic of interest. >> does the va currently have any way to engage the demand for service dogs? >> we do not.
we do not have aa method of gauging demand. >> is that under consideration? >> that would be outside of my purview. >> let me come to you. how are qualifying veterans referred to your organization? >> we never advertise. they find us through word-of-mouth through the tight veteran community. a 22 page application, interviews, criminal background checks my thorough vetting process. we know about them and are ready to bring the men. >> you don't do any advertising. >> absolutely. we advertise -- we are pushing into your weight this now. >> the va does not seem to have all lot of information here.
you are actively involved in bringing service dogs to veterans. a two-year waiting list. how many ideas -- you have any way of gauging with the neatest? >> i wish we did. since where a number of i'm not going to venture a guess. the number of veterans because of physicians is i don't have anything else that can help you. >> absolutely. >> let me ask you. thank you for your service for your testimony. powerful. we deeply and in the heartfelt way say thank you for what you have done for our country. how did you find out the service dogs were an option? >> i actually had a personal
friend of mine had a server start that he acquired on his own and trained. i'm not quite sure which organization. where he goes dog trained. but i knew that that was something that was an option , the veterans utilized. and when i went out to organizations specifically i want to organizations in taxes were currently living. i got pretty much the same result. wait times released a year. i didn't feel as though i have the time to wait. >> okay. your introduction came through a personal friend. >> that's correct. >> let me come back to you. twofold question. do you find the veterans struggle with affording
service dogs as a general rule? and how does your organization enable them? >> two pieces that. the 1st is some of our veterans have reported back that they would rather make personal sacrifices than to forgo having a service dog. they do have difficulty. most of the veterans we get are not able to pay to get a server start. we made lots of partnerships for example, put together a network of veterinarians he of free healthcare. trying to work with the stores to get free dog food for veterans. everything to make it for your almost free. the overwhelming messages they would forgo their own personal comfort. >> very good. thank you.
>> thank the gentleman. close your experience? how to do your prescribing? >> well, again, when i took the post- deployment health assessment which is preliminary. once you return stateside. i then went to a facility in fort worth and tried to use their system. i eventually met with the psychologist at the va hospital in fort worth and was prescribed antidepressants. >> why did they do that? was it because of your symptoms? >> correct. i was suffering from recurring nightmares for anxiety attacks. i also just had difficulty
with close, interpersonal relationships. as i mentioned previously, one of the side effects that goes largely unnoticed, there is a high divorce rate moist military members. that also affected me. it was not the direct cause of the divorce, but it did not help in any way, shape, or form. it was affecting my personal relationships. the nightmares, trained to recognize when having a nightmare and will jump up and better lick my face to wake me up. that is one of the way she has assisted me. i would further note that a docking give you a sense of purpose that a pill just not overdue. in the sense that there were many days i did not want to get out of bed. i do not have anything to do.
i didn't have a job at the time. and i did not have any reason to. but a service dog needs to be taken outside. they need to be fed. they give you a reason to to get up and be productive on a day-to-day basis. they give you that small sense of purpose. again, i reiterate that is something the pills just did not do for me. >> we had testimony before that this is not something the va is doing. >> could you repeat the question? >> a previous witness while little musical chairs, drugs for pts is not something that the va does. in your instances that what they did? >> my issues as a result of posttraumatic stress were recurring nightmares. i have aleep aid as a result of those nightmares. so i would disagree with that.